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Urinary And Genital Infection Test With Resistance Genes

New York rates for HCPCS 0321U

Identifies which organism is causing a urinary or genital tract infection and whether it carries genes that make it resistant to antibiotics. PCR — a method that copies and detects genetic material — is used to look for twenty organisms, and the same run also detects sixteen antibiotic-resistance genes.

Rates data updated July 2026.

How much does Urinary And Genital Infection Test With Resistance Genes cost?

$513

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $513 for this service. The price depends on where it is billed: about $380 from a physician practice, and about $1,096 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$380$257 to $537
FacilityA hospital or hospital-owned outpatient department$1,096$646 to $1,479

How much rates vary

Facilitymedian $1,096 · 10th to 90th $513 to $1,738Professionalmedian $380 · 10th to 90th $257 to $692
$200.0$1.0K$5.0K$20.0Kfacility $1,096professional $380

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$1,148.15
Typical High
$1,737.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$446.68
Typical High
$537.03
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$707.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$1,584.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$3,090.30
Typical High
$3,090.30
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$1,047.13
Typical High
$2,454.71
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$831.76
Typical High
$1,202.26
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$630.96
Typical High
$1,122.02
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$1,202.26
Typical High
$50,118.72
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$630.96
Typical High
$1,122.02
United
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$630.96
Typical High
$954.99
United
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$380.19
Typical High
$870.96
Univera
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$645.65
Typical High
$724.44
Univera
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$630.96
Typical High
$1,513.56

Where New York sits

The same service costs 3.7 times more in Alaska than in Kentucky. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

New York $513 · 34th of 51
AK $1,413KY $380

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.